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General NPI Number Information
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NPI Number | 1760693915
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Entity Type | Organization
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Legal Business Name | FAMILY & YOUTH INSTITUTE LLC
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Dates
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Enumeration Date | 05/26/2007
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Last Update Date | 06/13/2023
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Provider Practice Location Address
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Address Line | 26009 BUDDE RD STE A300
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City | THE WOODLANDS
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State | TX
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Zip | 77380-2065
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Country | US
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Telephone | 281-748-0233
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Fax | 832-481-6495
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Provider Business Mailing Address
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Address Line | 4010 DONALBAIN DR
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City | SPRING
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State | TX
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Zip | 77373-7441
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Country | US
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Telephone | 281-748-0233
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Fax | 832-481-6495
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Authorized Official
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Title or Position | OWNER
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Name | CATHERINE A GENTRY
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Credential | LPC-ASSOCIATE, LCDC
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Telephone | 832-748-7999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 18604
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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